Individual provider Active NPI

Bryan J Stringham, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Marietta, GA
National Provider Identifier
1801052071
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
2008018591 Issued in MO
Practice address
80 Lacy St NW
Marietta, GA 30060
Phone
(770) 427-0368
Fax
(678) 324-4058
NPI assigned
Aug 6, 2008
Last updated
Feb 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 2008018591 MO Primary

Addresses

Primary practice location

80 Lacy St NW
Marietta, GA 30060

Mailing address

80 Lacy St NW
Marietta, GA 30060-1112
Phone (770) 427-0368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180928001669 GA Practitioner - Otolaryngology 9335207687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest ENT Associates PCGroup PAC ID 2264498807, 15 clinicians

Practice addresses (Care Compare)

13 Reinhardt College Pkwy
Canton, GA 30114-2561
Phone (770) 427-0368

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest ENT Associates, PC Otolaryngology/Facial Plastic Surgery CurrentSince Aug 3, 2018 Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
Northwest ENT Surgery Center, LLC Past Accepting new patients

Locations

13 Reinhardt College Pkwy
Canton, GA 30114

80 Lacy St NW
Marietta, GA 30060
Phone (770) 429-0507

960 Woodstock Pkwy
Ste 100
Woodstock, GA 30188
Phone (678) 483-8833

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1801052071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 LACY ST NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601112",
            "telephone_number": "770-427-0368",
            "fax_number": "678-324-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 LACY ST NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30060",
            "telephone_number": "770-427-0368",
            "fax_number": "678-324-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRINGHAM",
        "first_name": "BRYAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-06",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MO",
            "license": "2008018591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.